EP0077515A2 - Procédé et réactif pour la détermination de l'hémoglobine glycosylée - Google Patents
Procédé et réactif pour la détermination de l'hémoglobine glycosylée Download PDFInfo
- Publication number
- EP0077515A2 EP0077515A2 EP82109382A EP82109382A EP0077515A2 EP 0077515 A2 EP0077515 A2 EP 0077515A2 EP 82109382 A EP82109382 A EP 82109382A EP 82109382 A EP82109382 A EP 82109382A EP 0077515 A2 EP0077515 A2 EP 0077515A2
- Authority
- EP
- European Patent Office
- Prior art keywords
- glycosylated
- hemoglobin
- haptoglobin
- glycosylated hemoglobin
- differentiation
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
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Classifications
-
- G—PHYSICS
- G01—MEASURING; TESTING
- G01N—INVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
- G01N33/00—Investigating or analysing materials by specific methods not covered by groups G01N1/00 - G01N31/00
- G01N33/48—Biological material, e.g. blood, urine; Haemocytometers
- G01N33/50—Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing
- G01N33/72—Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing involving blood pigments, e.g. haemoglobin, bilirubin or other porphyrins; involving occult blood
- G01N33/721—Haemoglobin
- G01N33/723—Glycosylated haemoglobin
-
- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
- Y10T—TECHNICAL SUBJECTS COVERED BY FORMER US CLASSIFICATION
- Y10T436/00—Chemistry: analytical and immunological testing
- Y10T436/10—Composition for standardization, calibration, simulation, stabilization, preparation or preservation; processes of use in preparation for chemical testing
- Y10T436/107497—Preparation composition [e.g., lysing or precipitation, etc.]
Definitions
- the invention relates to a method for the determination of glycosylated hemoglobin in blood samples.
- HbA Glycosylated hemoglobin
- HbA O non-enzymatic glycosylation of hemoglobin
- glycosylated portion of total hemoglobin has gained importance in diabetes diagnostics in recent years (see L. Jovanovic and C.M. Peterson, Am.J. Med. 70 (1981) pp. 331-338).
- the reaction between individual hemoglobin molecules and the glucose results in a stable reaction product that is retained throughout the entire lifespan of the erythrocytes, i.e. around 100-200 days.
- Short-term fluctuations in the blood sugar content do not have a decisive influence on the concentration of glycosylated hemoglobin.
- the concentration of glycosylated hemoglobin therefore reflects the average glucose concentration in the blood of a patient over a long period of time relatively accurately.
- a method for determining the glycosylated hemoglobin in blood samples is known from German Offenlegungsschrift 29 50 457, in which the change in the spectroscopic properties of a blood sample when an allosteric effector is added is used to determine the HbA 1 . Only the non-glycosylated main part of the hemoglobin is affected. The measured extinction differences are very small in the relevant range. They also decrease as the glycosylated portion of total hemoglobin increases.
- the object of the invention was therefore to provide a method with which the glycosylated hemoglobin can be determined reliably and precisely in a fast, technically simple manner.
- the method according to the invention in which after a chemical or physical treatment of the blood sample to release the hemoglobin from the erythrocytes, a differentiation of the glycosylated and non-glycosylated hemoglobin portion is carried out with the help of haptoglobin and either the reaction between hemoglobin and haptoglobin is kinetic followed or the one bound to haptoglobin or the proportion of hemoglobin not bound by haptoglobin is measured by known methods.
- Differentiation of glycosylated and non-glycosylated hemoglobin means all methods that allow a distinction between glycosylated and non-glycosylated hemoglobin based on their chemical and physical properties.
- the present invention thus relates to a method for the determination of glycosylated hemoglobin in blood samples, glycosylated and non-glycosylated hemoglobin being released from the erythrocytes by chemical or physical treatment of the blood sample, optionally converting the hemoglobin into methemoglobin, and then differentiating between glycosylated and non-glycosylated Hemoglobin performed and then the non-glycosylated or glycosylated portion of the hemoglobin is determined in a known manner, characterized in that the differentiation of glycosylated and non-glycosylated hemoglobin is carried out with the help of haptoglobin.
- the process according to the invention can be carried out in the presence of a suitable buffer system.
- a suitable buffer system in the pH range from 4.0 to 8.5, preferably from 6.0 to 7.0, can be used as a suitable buffer system within the scope of the invention.
- Phosphate and bis-tris buffers have proven particularly useful.
- Haptoglobin is a plasma protein. It has long been known that haptoglobin is able to bind hemoglobin released from the erythrocytes (see also T. Sasazuki, Immunochemistry 8 (1971) pp. 695-704).
- glycosylated and non-glycosylated hemoglobin differ in terms of their binding behavior differentiate against haptoglobin.
- the glycosylated hemoglobin is bound to the haptoglobin more quickly than the non-glycosylated hemoglobin. This follows, for example, from the decrease in the fluorescence intensity of a measurement solution containing haptoglobin after the addition of glycosylated or non-glycosylated hemoglobin.
- the measurement of the fluorescent radiation which is a measure of the interaction between hemoglobin and haptoglobin, can be carried out in a known manner. In Fig. 1 is the decrease
- the method for determining the glycosylated portion of the total hemoglobin is expediently carried out in such a way that the glycosylated and the non-glycosylated hemoglobin are first released from the erythrocytes by customary methods.
- a solution containing haptoglobin is added to the hemolyzed blood sample, optionally after adding a suitable oxidizing agent to convert the hemoglobin into the methemoglobin.
- the glycosylated portion of the hemoglobin is preferably bound to the haptoglobin. Conventional measuring methods are used to distinguish the bound from the unbound portion of hemoglobin or methemoglobin.
- inositol hexaphosphate The influence of inositol hexaphosphate on the binding behavior of glycosylated and non-glycosylated hemoglobin compared to haptoglobin is clear from FIG. 2.
- the decrease in the fluorescence intensity of a haptoglobin-containing solution after addition of inositol hexaphosphate and non-glycosylated hemoglobin is plotted against time.
- the course of the measurement curves clearly shows that in the presence of inositol hexaphosphate, glycosylated hemoglobin binds to haptoglobin much faster than the non-glycosylated hemoglobin.
- hemoglobin normally present after the hemolysis of the erythrocytes into the methemoglobin before the differentiation of glycosylated and non-glycosylated hemoglobin.
- a number of known methods are available to the person skilled in the art, for example oxidation with potassium hexacyanoferrate (III) or with sodium nitrite.
- a reducing agent for example sodium dithionite
- the haptoglobin is used in at least an equimolar amount based on the hemoglobin.
- an essential upper margin is also advantageous here.
- Preferably 2 to 50 times the molar amount is used.
- the haptoglobin can also be covalently bound to an insoluble carrier. All customary carrier materials suitable for fixing proteins are suitable as carriers.
- the haptoglobin is linked to the carrier material in a manner which is generally known to the person skilled in the art.
- the carrier-fixed haptoglobin is added to the hemolized blood sample, which may have been provided with the additives mentioned above. After sufficient contact time, e.g. after about 1 minute, the insolubilized haptoglobin with the bound glycosylated hemoglobin portion is separated off and the glycosylated hemoglobin is determined in the usual way either directly photometrically on the basis of its own color or on the basis of its pseudo-peroxidative activity.
- Another object of the invention is a reagent for the differentiation of glycosylated and non-glycosylated hemoglobin, which contains haptoglobin in free or carrier-bound form.
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Hematology (AREA)
- Engineering & Computer Science (AREA)
- Molecular Biology (AREA)
- Biomedical Technology (AREA)
- Chemical & Material Sciences (AREA)
- Immunology (AREA)
- Urology & Nephrology (AREA)
- Food Science & Technology (AREA)
- Biochemistry (AREA)
- Cell Biology (AREA)
- Biotechnology (AREA)
- Medicinal Chemistry (AREA)
- Physics & Mathematics (AREA)
- Analytical Chemistry (AREA)
- Microbiology (AREA)
- General Health & Medical Sciences (AREA)
- General Physics & Mathematics (AREA)
- Pathology (AREA)
- Investigating Or Analysing Biological Materials (AREA)
- Polysaccharides And Polysaccharide Derivatives (AREA)
- Saccharide Compounds (AREA)
- Investigating Or Analysing Materials By The Use Of Chemical Reactions (AREA)
- Measuring Or Testing Involving Enzymes Or Micro-Organisms (AREA)
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| AT82109382T ATE12318T1 (de) | 1981-10-16 | 1982-10-11 | Verfahren und reagenz zur bestimmung von glykosiliertem haemoglobin. |
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| DE3141146 | 1981-10-16 | ||
| DE19813141146 DE3141146A1 (de) | 1981-10-16 | 1981-10-16 | Verfahren und reagens zur bestimmung von glykosiliertem haemoglobin |
Publications (3)
| Publication Number | Publication Date |
|---|---|
| EP0077515A2 true EP0077515A2 (fr) | 1983-04-27 |
| EP0077515A3 EP0077515A3 (en) | 1983-08-17 |
| EP0077515B1 EP0077515B1 (fr) | 1985-03-20 |
Family
ID=6144259
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| EP82109382A Expired EP0077515B1 (fr) | 1981-10-16 | 1982-10-11 | Procédé et réactif pour la détermination de l'hémoglobine glycosylée |
Country Status (14)
| Country | Link |
|---|---|
| US (1) | US4438204A (fr) |
| EP (1) | EP0077515B1 (fr) |
| JP (1) | JPS5879163A (fr) |
| AT (1) | ATE12318T1 (fr) |
| AU (1) | AU537363B2 (fr) |
| CA (1) | CA1199257A (fr) |
| DD (1) | DD203778A5 (fr) |
| DE (2) | DE3141146A1 (fr) |
| DK (1) | DK157047C (fr) |
| ES (1) | ES8306406A1 (fr) |
| FI (1) | FI73088C (fr) |
| HU (1) | HU188211B (fr) |
| IE (1) | IE53534B1 (fr) |
| ZA (1) | ZA827547B (fr) |
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP0215401A3 (fr) * | 1985-09-14 | 1987-05-20 | Roche Diagnostics GmbH | Procédé et réactif pour la détermination de l'hémoglobine glycosylée ainsi que composés appropriés et procédé pour leur préparation |
| DE19856433A1 (de) * | 1998-12-08 | 2000-06-21 | Centeon Pharma Gmbh | Verfahren zum spezifischen Nachweis von glykosilierten Proteinen |
| EP2562539A4 (fr) * | 2010-03-31 | 2015-01-28 | Sekisui Medical Co Ltd | Procédé d'analyse des hémoglobines |
Families Citing this family (12)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| DE3314308A1 (de) * | 1983-04-20 | 1984-10-25 | Boehringer Mannheim Gmbh, 6800 Mannheim | Verfahren und reagens zur bestimmung des haemoglobin-haptoglobin komplexes in gegenwart von freiem haemoglobin |
| US4837170A (en) * | 1986-01-20 | 1989-06-06 | Otsuka Pharmaceutical Co., Ltd. | Monoclonal antibody, measuring method of glucosylated protein by utilizing the monoclonal antibody, and kit therefor |
| EP0299419B1 (fr) * | 1987-07-14 | 1993-10-20 | Kabushiki Kaisha Kyoto Daiichi Kagaku | Méthode de mesure automatique de glyco-hémoglobine |
| US4970171A (en) * | 1987-11-09 | 1990-11-13 | Miles Inc. | Denaturant reagents for convenient determination of hemoglobin derivatives in blood |
| JP3032891B2 (ja) * | 1989-03-04 | 2000-04-17 | 吉富製薬株式会社 | 遊離ヘモグロビン測定用試薬キット及びそれを用いる遊離ヘモグロビンの測定法 |
| US5484735A (en) * | 1989-08-23 | 1996-01-16 | Northwestern University | Immunoassay of glycosylated proteins employing antibody directed to reductively glycosylated N-terminal amino acids |
| AU3737093A (en) * | 1992-03-04 | 1993-10-05 | Abbott Laboratories | Determination of glycated hemoglobin by fluorescence quenching |
| US5739037A (en) * | 1992-09-29 | 1998-04-14 | Drew Scientific Limited | Process for eliminating labile glycohaemoglobin from a sample |
| EP0668786A1 (fr) * | 1992-11-03 | 1995-08-30 | Chronomed, Inc. | Methodes et processus de preparation de fractions de globules rouges |
| US5424447A (en) * | 1993-07-07 | 1995-06-13 | The Medical College Of Wisconsin Research Foundation, Inc. | Heme binding compounds and use thereof |
| US6174734B1 (en) * | 1997-10-24 | 2001-01-16 | Abbott Laboratories | Measurement of glycated hemoglobin |
| DE102009053225A1 (de) * | 2009-11-06 | 2011-05-12 | Deutsche Sporthochschule Köln | Verfahren zur Bestimmung der totalen Hämoglobinmenge im Körper eines Lebewesens |
Family Cites Families (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US3350174A (en) * | 1964-01-08 | 1967-10-31 | Miles Lab | Process of determining hemoglobin separated from peroxidase inhibitors in urine |
| US4189304A (en) | 1978-10-27 | 1980-02-19 | Miles Laboratories, Inc. | Device and method for detecting myoglobin |
| US4200435A (en) * | 1978-12-26 | 1980-04-29 | Abbott Laboratories | Determination of glycosylated hemoglobin in blood |
| US4268270A (en) * | 1979-04-30 | 1981-05-19 | Children's Hospital Medical Center | Glycosylated hemoglobin measurement |
| US4255385A (en) | 1979-10-23 | 1981-03-10 | Abbott Laboratories | Reagent and test kit for determining glycosylated hemoglobin |
| US4371374A (en) | 1980-11-17 | 1983-02-01 | The Rockefeller University | Monitoring metabolic control in diabetic patients by measuring glycosylated amino acids and peptides in urine |
-
1981
- 1981-10-16 DE DE19813141146 patent/DE3141146A1/de not_active Withdrawn
-
1982
- 1982-09-29 US US06/426,510 patent/US4438204A/en not_active Expired - Lifetime
- 1982-09-30 AU AU88896/82A patent/AU537363B2/en not_active Ceased
- 1982-10-11 EP EP82109382A patent/EP0077515B1/fr not_active Expired
- 1982-10-11 DE DE8282109382T patent/DE3262693D1/de not_active Expired
- 1982-10-11 AT AT82109382T patent/ATE12318T1/de not_active IP Right Cessation
- 1982-10-11 FI FI823454A patent/FI73088C/fi not_active IP Right Cessation
- 1982-10-13 DD DD82243954A patent/DD203778A5/de unknown
- 1982-10-14 ES ES516496A patent/ES8306406A1/es not_active Expired
- 1982-10-15 IE IE2493/82A patent/IE53534B1/en unknown
- 1982-10-15 HU HU823286A patent/HU188211B/hu not_active IP Right Cessation
- 1982-10-15 DK DK458682A patent/DK157047C/da not_active IP Right Cessation
- 1982-10-15 CA CA000413594A patent/CA1199257A/fr not_active Expired
- 1982-10-15 ZA ZA827547A patent/ZA827547B/xx unknown
- 1982-10-15 JP JP57180095A patent/JPS5879163A/ja active Granted
Cited By (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP0215401A3 (fr) * | 1985-09-14 | 1987-05-20 | Roche Diagnostics GmbH | Procédé et réactif pour la détermination de l'hémoglobine glycosylée ainsi que composés appropriés et procédé pour leur préparation |
| DE19856433A1 (de) * | 1998-12-08 | 2000-06-21 | Centeon Pharma Gmbh | Verfahren zum spezifischen Nachweis von glykosilierten Proteinen |
| DE19856433C2 (de) * | 1998-12-08 | 2001-09-13 | Aventis Behring Gmbh | Verfahren zum spezifischen Nachweis von glykosilierten Proteinen |
| EP2562539A4 (fr) * | 2010-03-31 | 2015-01-28 | Sekisui Medical Co Ltd | Procédé d'analyse des hémoglobines |
| US9304139B2 (en) | 2010-03-31 | 2016-04-05 | Sekisui Medical Co., Ltd. | Method of analyzing hemoglobins |
Also Published As
| Publication number | Publication date |
|---|---|
| ES516496A0 (es) | 1983-06-01 |
| DK458682A (da) | 1983-04-17 |
| DK157047B (da) | 1989-10-30 |
| EP0077515A3 (en) | 1983-08-17 |
| ES8306406A1 (es) | 1983-06-01 |
| JPS5879163A (ja) | 1983-05-12 |
| CA1199257A (fr) | 1986-01-14 |
| AU537363B2 (en) | 1984-06-21 |
| JPH0153748B2 (fr) | 1989-11-15 |
| EP0077515B1 (fr) | 1985-03-20 |
| DE3141146A1 (de) | 1983-04-28 |
| US4438204A (en) | 1984-03-20 |
| FI823454L (fi) | 1983-04-17 |
| FI73088B (fi) | 1987-04-30 |
| DK157047C (da) | 1990-04-02 |
| FI823454A0 (fi) | 1982-10-11 |
| HU188211B (en) | 1986-03-28 |
| IE822493L (en) | 1983-04-16 |
| AU8889682A (en) | 1983-04-21 |
| DE3262693D1 (en) | 1985-04-25 |
| FI73088C (fi) | 1987-08-10 |
| DD203778A5 (de) | 1983-11-02 |
| ZA827547B (en) | 1983-09-28 |
| IE53534B1 (en) | 1988-12-07 |
| ATE12318T1 (de) | 1985-04-15 |
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